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    OpenPayerNPI Medicare & MedicaidScott Smith
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    Scott Smith — Billing Profile & Reimbursement Data

    NPI 1205994423 · Monterey, CA · Podiatrist

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    Scott Smith is a podiatrist provider located in Monterey, California. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Smith
    Address12 Upper Ragsdale Dr
    CityMonterey
    StateCA
    ZIP93940
    TaxonomyPodiatrist
    NPI EnumeratedDecember 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$120.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…410$90$35.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…440$70$30.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.410$30$11.8K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.40$210$8K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…160$40$6.4K
    28270The provider incises the capsule of a metatarsophalangeal joints of the toes to restore range of motion and relieve pain from a contracture. He may suture the tendon to strengthen it.30$140$3.8K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…40$100$3.8K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.40$90$3.7K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.70$50$3.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…20$110$2.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921433,88437,970120$90$23.2K
    110421,0231,030100$80$18.1K
    171101,4201,840110$90$17K
    117211,0121,170240$40$15.9K
    28285198030$500$15.6K
    992133,92034,66080$70$13.2K
    11720644690100$30$8.5K
    2827082020$270$8.2K
    1105563086060$60$6.4K
    1173012338020$80$5.8K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Scott Smith, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monterey County Behavioral Health DivisionCACommunity/Behavioral Health Agency$0$137.8M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Hsp40248fCAGeneral Acute Care Hospital$0$47.3M
    County Of MontereyCAFamily Medicine Physician$0$41M
    County Of MontereyCAFamily Medicine Physician$0$37.5M
    County Of MontereyCAFamily Medicine Physician$0$27.1M
    County Of MontereyCAInternal Medicine Physician$0$22.5M
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    David GreeneCARadiation Oncology Physician$2.3M$119.1K
    Katrina FischerCAHematology & Oncology Physician$2.1M$0

    Nearby Providers

    Other providers in the same ZIP code as Scott Smith, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospital Of The Monterey PeninsulaCAGeneral Acute Care Hospital$0$88.5M
    Monterey Bay Endoscopy Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$4.9M
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$0
    Nancy RubinCAHematology & Oncology Physician$2M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2M$11.3K
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Salar DeldarCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.2M$0
    Lulu ZhangCAHematology & Oncology Physician$1.2M$0
    Nancy TrayCAInternal Medicine Physician$1.1M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$721.9K$409K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Scott Smith — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California